Authorization Specialist

As an Authorization Specialist in Revenue Cycle Management, you play a critical role in ensuring timely and accurate processing of patient services by obtaining prior authorizations, referrals, and approvals from insurance companies. Your strong knowledge of insurance policies, excellent communication skills, and efficient navigation of insurance portals are essential for supporting revenue integrity and minimizing claim denials. Key Responsibilities: - Verify patient insurance coverage and benefits for authorization requirements. - Collaborate with clinical staff, providers, and insurance companies to ensure timely submission of necessary documentation. - Maintain accurate records of all authorizations, denials, and appeals in the RCM system. - Communicate authorization status to internal departments such as scheduling, billing, and patient financial services. - Research and resolve insurance-related issues impacting prior authorizations. - Assist in appeals and resubmissions for denied or delayed authorizations. - Provide support and training to team members on authorization processes and system use. - Contribute to improving authorization workflows and reducing delays in the revenue cycle. Qualifications: - High school diploma or equivalent required; Associates or Bachelors degree preferred. - Previous experience in healthcare authorization, billing, or revenue cycle management preferred. In this full-time role, you will be working in person at the location specified.,